1. Get the Diabetes Forum App for your phone - available on iOS and Android.
    Dismiss Notice
  2. Guest, we'd love to know what you think about the forum! Take the Diabetes Forum Survey 2020 »
    Dismiss Notice
  3. Diabetes Forum should not be used in an emergency and does not replace your healthcare professional relationship. Posts can be seen by the public.
    Dismiss Notice
  4. Guest, stay home, stay safe, save the NHS. Stay up to date with information about keeping yourself and people around you safe here and GOV.UK: Coronavirus (COVID-19). Think you have symptoms? NHS 111 service is available here.
    Dismiss Notice
Dismiss Notice
Find support, ask questions and share your experiences. Join the community »

Morning carb to insulin ratio

Discussion in 'Type 1 Diabetes' started by amberzak, Jul 22, 2014.

  1. amberzak

    amberzak Type 1 · Well-Known Member

    Messages:
    198
    Likes Received:
    30
    Trophy Points:
    68
    Hi.

    I've sorted my morning sugars. Wake up with nice 5s and 6s. But my mid morning sugars are always so high. I am normally on carb to insulin ratio 9:1, and in the mornings I tried 7:1, but I'm obviously still not having enough insulin in the morning.

    I just wondered if you have a different carb to insulin ratio in the morning, and what your ratios are.
     
  2. novorapidboi26

    novorapidboi26 Type 1 · Well-Known Member

    Messages:
    2,831
    Likes Received:
    1,853
    Trophy Points:
    178
    before the pump I was on 3:1, that translated to 3 units for every 10 grams...........

    I don't think that's the way you have displayed your ratio though, is it?

    what are your blood sugars before lunch? if there OK it might be a dose timing issue.....so you need to get the dose in even longer before actually eating.....
     
  3. mo1905

    mo1905 Type 1 · BANNED

    Messages:
    4,334
    Likes Received:
    3,775
    Trophy Points:
    178
    When you say your mid morning levels are high, how high ? What do you eat for breakfast ? Do you split dose your background ? ( may be the basal is running low ). Many people struggle with morning levels and lots have different ratio's for different times of the day. If you tried 1unit for 7g and not working, maybe try 1unit for 6g ?
     
  4. Dillinger

    Dillinger Type 1 · Well-Known Member

    Messages:
    1,205
    Likes Received:
    2,283
    Trophy Points:
    198
    My morning insulin to carb ratio is much higher than my evening ratio; so yes it certainly can happen.

    As @mo1905 said tyring 1 unit for 6 and if that doesn't work go down until it does.

    Best

    Dillinger
     
  5. noblehead

    noblehead Type 1 · Guru
    Retired Moderator

    Messages:
    23,618
    Likes Received:
    19,616
    Trophy Points:
    278
    Insulin ratio's can change from morning to night, people often find they are more insulin resistant in the morning so requite a little more insulin than they do on an evening, as Mo says your first port of call is making sure your basal insulin is set at the right dose, once you can confirm that you can then begin to look at your insulin-to-carb ratio's.
     
  6. amberzak

    amberzak Type 1 · Well-Known Member

    Messages:
    198
    Likes Received:
    30
    Trophy Points:
    68
    Hi. Yes novo, I do it differently to you. I work in one unit per grams of carbs, rather than units per 10 grams of carbs. I don't think it matters as long as it's consistent.

    Today I'm now going low, but I think that might be the hot weather (and I did correct the high). By high I mean about 9, which isn't as bad as I have been.

    I upped my background today. I take levimer 2 times a day, 14 at night and 16 in the morning (though I just upped that to 17). And I'm on novorapid.
     
  7. novorapidboi26

    novorapidboi26 Type 1 · Well-Known Member

    Messages:
    2,831
    Likes Received:
    1,853
    Trophy Points:
    178
    when did you correct the 9, before lunch?

    I learned to ratio that way from DAFNE, it does seem easier though to divide your total carb value by 10 as opposed to any other number..... creature of habit I suppose....

    Did you test your basal in the morning time? I have been known to casually change my doses in the past and even now on the pump, but its good to get some concrete data/proof before making a dose change...
     
  8. amberzak

    amberzak Type 1 · Well-Known Member

    Messages:
    198
    Likes Received:
    30
    Trophy Points:
    68
    For the last few weeks I've been going high throughout the day, even when not eating. So that's why I changed the background.

    I did correct mid morning. Am I not supposed to so that? I seem to always be correcting, so I don't think my carb to
    Insulin is correct at all
     
  9. mo1905

    mo1905 Type 1 · BANNED

    Messages:
    4,334
    Likes Received:
    3,775
    Trophy Points:
    178
    Did changing the background correct this daytime rise ? Have you checked since ? It still may need adjusting. You can correct mid morning but if you are correcting every morning then something is wrong. Your BG levels go up generally because of not enough insulin or too many carbs for insulin. OK, there are other reasons too, stress, illness etc but these should not be regular happenings.
     
  10. novorapidboi26

    novorapidboi26 Type 1 · Well-Known Member

    Messages:
    2,831
    Likes Received:
    1,853
    Trophy Points:
    178
    I wouldn't correct mid morning, not with a 9 anyway, I would consider it maybe if I was 15+.......it also depends on your active insulin, on a pump this calculation is done for you accurately, but is possible to do the calculation manually...

    you should try getting the insulin in sooner before breakfast, when do you inject? immediately before? after?
     
  11. amberzak

    amberzak Type 1 · Well-Known Member

    Messages:
    198
    Likes Received:
    30
    Trophy Points:
    68
    Immediately before because that's what I was told to do, as it's novo rapid. For some foods (like if I have pizza or something else fatty) I actually have to inject after or else I go hypo. So the insulin normally works well.

    I test all the time (about 10 times a day at the moment) because I really want to get this right so my husband and I can start trying for a baby. Even today I had a rise mid morning. But my lunch time I was hypo.
     
  12. novorapidboi26

    novorapidboi26 Type 1 · Well-Known Member

    Messages:
    2,831
    Likes Received:
    1,853
    Trophy Points:
    178
    try injecting 10 - 15 minutes before you actually eat........novo rapid take 5 - 10 minutes to kick in....its all about matching the insulin profile to that of the digesting food.....

    what did you have to eat this morning that gave you a high then low......?
     
  13. amberzak

    amberzak Type 1 · Well-Known Member

    Messages:
    198
    Likes Received:
    30
    Trophy Points:
    68
    Cereal. Cherios.

    I think me working and the got weather may have contributed to the low
     
  14. noblehead

    noblehead Type 1 · Guru
    Retired Moderator

    Messages:
    23,618
    Likes Received:
    19,616
    Trophy Points:
    278
    Not the best cereal of choice as they'll be a lot of sugar added.

    Try some traditional porridge oats (steel or rough cut ideally) and add some seeds whilst cooking, I use pumkin, sunflower & linseeds and then throw a handful of frozen blueberries in just as it coming off the boil, with a heaped desert spoon full of natural yoghurt it makes for a nutritional breakfast (and if like me) doesn't spike your bg, it really is filling and keeps you satisfied until lunch.
     
  15. amberzak

    amberzak Type 1 · Well-Known Member

    Messages:
    198
    Likes Received:
    30
    Trophy Points:
    68
    I eat porridge in the winter, but to be honest it's too hot for the summer. I've not been having breakfast as I don't really like eating that time, but I'm trying to. I'm going to be honest and say I know I won't do anything that requires any preparation. I don't have a great deal of time in the mornings, and I know with the best of intentions, I will not keep up with preparing porridge.

    I would probably do toast (brown bread). I like weetabix. But i got home from staying at my mums and there was nothing in the house except white bread (yuck) and Cheerios. I figured Cheerios is better than nothing.
     
  16. drahawkins_1973

    drahawkins_1973 Type 1 · Well-Known Member

    Messages:
    446
    Likes Received:
    580
    Trophy Points:
    153
    I find for my morning novarapid I need to inject about 20 mins before my breakfast of brown toast. I've got into the habit if wake up test, inject and then shower we so by the the time I'm done I'm ready to eat.
    Also I need twice as much insulin as I do in the morning than during the rest if the day.
    Took a fair bit of variation in times and units to figure it out so persevere and I'm sure you'll sort it out.
    Andrea


    Sent from the Diabetes Forum App
     
    • Like Like x 3
  17. novorapidboi26

    novorapidboi26 Type 1 · Well-Known Member

    Messages:
    2,831
    Likes Received:
    1,853
    Trophy Points:
    178
    That's good....I also had to carry out some trial and error in order to get the mid meal numbers below double figures...

    Sent from the Diabetes Forum App
     
    • Like Like x 2
  18. amberzak

    amberzak Type 1 · Well-Known Member

    Messages:
    198
    Likes Received:
    30
    Trophy Points:
    68
    Thanks everyone. I will try all of these ideas. :)

    Will let you know how it goes.
     
    • Like Like x 3
  • Meet the Community

    Find support, connect with others, ask questions and share your experiences with people with diabetes, their carers and family.

    Did you know: 7 out of 10 people improve their understanding of diabetes within 6 months of being a Diabetes Forum member. Get the Diabetes Forum App and stay connected on iOS and Android

    Grab the app!
  • Tweet with us

  • Like us on Facebook